Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019 P177 (continued) tative content analysis using an exploratory, inductive approach to elucidate emergent themes from the data. Results: DFAC staff perspectives of barriers to G4G implementation included lack of, or ineffective training, inconsistent preparation of food items, fidelity issues, staff perceptions of patron preferences, lack of patron familiarity to new G4G food items and lack of buy-in. Implementation facilitators included training, G4G team site visits, and patron exposure to G4G menu items. Staff suggestions for G4G implementation and program improvement included training on preparation methods, having a flexible implementation timeline, up front provision of all G4G materials, for the G4G team to conduct a needs assessment, and G4G and nutrition education and awareness outside the DFAC. Conclusion: Results demonstrated that barriers to G4G 2.0 implementation outweighed facilitators, and supported the idea that there may be more viable, less time and work-intensive methods to promote healthier food selection by patrons. Incorporating methods to improve patron selection of healthful items in DFACs could play an instrumental role in improving Service Member health, thereby enhancing readiness to meet mission requirements. Funding: United States Army Research Institute of Environmental Medicine.
P178 Nutrition Education and Physical Activity Opportunities at Federal Summer Nutrition Program Sites in North Carolina Jessica Soldavini, MPH, LDN, RD, Jessica.m.sold@gmail. com, No Kid Hungry NC, UNC Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr Blvd, Chapel Hill, NC 27514; Tamara Baker, BA, No Kid Hungry NC, UNC Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill Background: The Summer Food Service Program and National School Lunch Program Seamless Summer Option are federal Summer Nutrition Programs (SNP) that provide free meals to children in low-income areas during the summer. The USDA recommends offering nutrition education and physical activity opportunities at SNP meal sites, yet it is unclear how many sites are offering these types of activities. Objective: To examine the proportion of North Carolina (NC) SNP sites currently offering and interested in offering nutrition education and physical activity opportunities. Study Design, Settings, Participants: In October of 2018, an online questionnaire was emailed to staff from SNP sites in NC. Measurable Outcome/Analysis: Information on types of enrichment activities offered at meal sites was collected through the question “Were any of the following activities provided at your SNP site(s) this past summer?” A list of activities was provided and response options were “Yes,” “No, and we have no plans to do so next summer,” and
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“No, but I am interested in doing so next summer.” Descriptive statistics were calculated. Results: Among the 241 meal site staff that completed the survey, 203 responded to the questions on enrichment activities. Physical activity/sports were reported being offered by 65% of respondents. Offering nutrition-related activities was less common, with 40% offering nutrition education, 27% cooking activities, 20% taste tests, and 18% gardening activities. Among sites not currently offering a particular type of activity, the percentage of sites interested in offering that activity next summer was 49% for nutrition education, 41% for taste tests, 34% for gardening activities, 30% for cooking activities, and 30% for physical activity/sports. Conclusion: The majority of NC SNP site staff responding to the survey did not offer nutrition-related activities during the 2018 summer, although many were interested in offering them next summer. Nutrition educators can partner with SNP sites to provide nutrition-related activities and physical activity opportunities for children. Funding: None.
P179 Nutrition Education for Asian Indian Fathers: What Works? Priya Krishnakumar, MS, Florida International University; Catherine Coccia, PhD, RDN,
[email protected], Florida International University, 11200 SW 8th St, AHC 5 316, Miami, FL 33199 Background: Fathers are mostly under-represented in family interventions targeting healthy eating behavior in children due to a variety of reasons including busy work schedules and maternal gatekeeping. There is a need to examine the most effective approach to engage fathers in nutrition education programs, especially in more traditional cultural groups such as Asian Indians. Objective: This study aimed to determine participation preferences of Asian Indian fathers including their perspectives on preferred content and format of future nutrition education programing. Study Design, Settings, Participants: This cross-sectional study included 70 Asian Indian fathers of 6-11-yearold children, recruited through various Indian community organizations in South Florida. Participants completed an online survey with questions on preferred nutrition education program participation, delivery mode, program duration, time and content. Measurable Outcome/Analysis: Content and delivery preferences were analyzed by descriptive statistics using SPSS V 25.0. Results: About 48.6% (n = 34) of the participants said they were likely to attend a future nutrition education program. Of these, 67.6% (n = 23) preferred an online program delivery format. About 26.5% (n = 9), preferred a mix of online and in-person sessions and only 5.9% (n = 2) preferred an in-person nutrition education program. Majority of the participants preferred a duration of 30 minutes for in-person education sessions taking Continued on page S114
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P179 (continued) place either weekends/ weekdays after work. “Easy access”, “flexibility” and “easy accommodation with work schedule” were the most stated reasons for preference of online mode of delivery. When asked about content, fathers were most interested in learning about “healthy balanced diet for children” (n = 10), “making kids choose healthy when alone” (n = 5), “healthy eating options for vegetarians combining Indian and Western diet” (n = 5) and “nutrition needs for various child age groups” (n = 5). Conclusion: These findings can guide the design and conduct of nutrition education interventions for Asian Indian fathers. There is a need for innovative program delivery techniques including web-based education to engage fathers in nutrition programming. Funding: None.
P180 Nutrition Education Needs Assessment of Farmers Market Participants in Lubbock, Texas Makenzie Miller, BS,
[email protected], Texas Tech University, 2500 Broadway, Lubbock, TX 79409; Wilna Oldewage-Theron, PhD, RD(SA), Texas Tech University Background: Fruit and vegetable (FV) consumption has been linked to positive health outcomes, but most Americans do not meet recommended intake levels. Nutrition education is an effective strategy to promote and increase FV consumption. Farmers markets offer a unique opportunity to provide nutrition education in an environment facilitative to increased FV access and intake. No nutrition education program currently exists among farmers markets in Lubbock, Texas. Objective: To determine the nutrition education needs among farmers market participants in Lubbock. Study Design, Settings, Participants: This was a cross-sectional study. A self-administered questionnaire was used to collect data from a convenience sample of 394 adults visiting two purposively selected farmers markets between May and October 2018. Measurable Outcome/Analysis: Data were analyzed using IBM SPSS Statistics, version 25 for descriptive analyses (frequencies, means and standard deviations [SD]). Results: The majority of participants were women (71.8%), aged 31.1 § 27.3 years, that often (26.1%) or regularly (9.4%) visited the farmers market to buy fresh fruit (72.1%) and vegetables (78.4%). The primary reasons for shopping at the market included: quality (97.5%), variety (90.4%) and price (79.9%). Results indicated that 58.8% of participants were interested in nutrition education at the market to mainly learn about less sugar in the diet (47.5%), how to enjoy more fruits and vegetables (43.4%), weight management (40.6%), and meal planning (40.1%). The majority indicated that lessons should include tastings (54.3%) and cooking demonstrations (50.3%) and 37.8% preferred that lessons be offered in the morning. Conclusion: A need for nutrition education with cooking demonstrations and food tastings exists among farmers
market participants in Lubbock. Information collected will be used to develop and implement a nutrition education program tailored to the needs of farmers market participants in Lubbock and may be used by market organizers to better cater the market to participants’ needs. Funding: None.
P181 Nutrition is Still Recurrently Disregarded as a Constituent of HIV/AIDS Management Temitope Kayode Bello, PhD, MPH, MS, BS, RDN,
[email protected], South African Research Chair: Education and Care in Childhood Faculty of Education University of Johannesburg, GNA 119, Robert Sobukwe Bldg, Soweto Campus, Johannesburg 27 South Africa; Jace Pillay, EdD, MS, BA, South African Research Chair: Education and Care in Childhood Faculty of Education University of Johannesburg Soweto Campus South Africa Background: The impact of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) in Africa is still a major concern to the global community of public health professionals. Previous focus has been primarily on Highly Active Antiretroviral Therapy (HAART) and adherence, neglecting other key components of survival needed by people living with HIV (PLWHA). Research evidence has shown that HAART without nutrition education interventions cannot solely reduce HIV related morbidity and mortality rates. Objective: The objective of this review is to provide insights on the role of nutrition as parts of key component in HIV and AIDS disease management. Study Design, Settings, and Participants: Critical appraisal approach was used to identify review of previous nutrition intervention research for PLWHA published between January 2008 and December 31, 2018. Measurable Outcome/Analysis: The articles were identified through PubMed, EBSCOhost platform (CINAHL, Medline, and Nursing Academic Edition), Cochrane Library and Google scholar as well as by perusing the reference list of selected articles. Inclusion and exclusion criteria were set within the scope of this review. Results: The results of this review showed that there is lack of information on the relationship between HIV, HIV risk factors and nutrition and the role of nutrition in HIV management. This review also established that, there is an urgent need to provide scientific information on the current state of HIV and nutrition research. Some of the realistic approaches to reduce the impact of HIV/AIDS such as optimization of nutritional status of the PLWHA and regular physical activities were revealed. The needs for PLWHA to consume a varied diet in order to prevent opportunistic infections and nutrition deficiencies were also identified. Conclusion: The review confirmed needs for further research on the development, implementation and evaluation of programme activities related to nutrition, quality of life (QoL) and physical activities of PLWHA. Funding: National Research Foundation.